Association between sleep quality and quality of life in nursing professionals working rotating shifts

OBJECTIVE To analyze the association between sleep quality and quality of life of nursing professionals according to their work schedules.METHODS A prospective, cross-sectional, observational study was conducted between January and December 2010, with 264 nursing professionals, drawn from 989 subjects at Botucatu General Hospital and stratified by professional category. The Pittsburg Sleep Quality Index and the WHOQOL-bref were administered to evaluate sleep quality and quality of life, respectively. Self-reported demographic data were collected with a standard form. Continuous variables were reported as means and standard deviations, and categorical variables were expressed as proportions. Associations were evaluated using Spearman&#8217;s correlation coefficient. The association of night-shift work and gender with sleep disturbance was evaluated by logistic regression analysis using a model adjusted for age and considering sleep disturbance the dependent variable. The level of significance was p < 0.05.RESULTS Night-shift work was associated with severe worsening of at least one component of sleep quality in the model adjusted for age (OR = 1.91; 95%CI 1.04;3.50; p = 0.036). Female gender was associated with sleep disturbance (OR = 3.40; 95%CI 1.37;8.40; p = 0.008). Quality of life and quality of sleep were closely correlated (R = -0.56; p < 0.001).CONCLUSIONS Characteristics of the nursing profession affect sleep quality and quality of life, and these two variables are associated.

Validation of a new reference values���s database for semiquantification of 123I���FP���CIT SPECT scans in one nuclear medicine department

The DatScanTM and its Semiquantification (SQ) can provide advantages in the diagnosis of Parkinsonian Syndromes (PS). To improve the SQ is recommended the creation of adapted database (DB) with reference values for the Nuclear Medicine Departments. Previously to this work was created a adapted database (DBRV) to Nuclear Medicine Department's protocol and population of Infanta Cristina's Hospital located in Badajoz, for patients between the ages of 60 and 75, and reference values of the SQ were calculated. Aim: To evaluate the discrimination capacity of a department's adapted DB reference's values of healthy controls for DatScanTM.

Clinical classification versus semiquantification with adapted reference values for 123I-FP-CIT SPECT in a nuclear medicine department

Semi quantification (SQ) in DaTScan�� studies is broadly used in clinic daily basis, however there is a suspicious about its discriminative capability, and concordance with the diagnostic classification performed by the physician. Aim: Evaluate the discriminate capability of an adapted database and reference's values of healthy controls for the Dopamine Transporters (DAT) with 123I���FP-IT named DBRV adapted to Nuclear Medicine Department's protocol and population of Infanta Cristina's Hospital, and its concordance with the physician classification.

O regresso a casa ap��s hospitaliza����o : an��lise da prepara����o da alta de enfermagem no caso particular da pessoa idosa aut��noma��

RESUMO: O envelhecimento demogr��fico �� uma realidade dos nossos dias. A prepara����o da alta de enfermagem �� um elemento da presta����o de cuidados que pode ser explorado na fase de envelhecimento para dotar os idosos de conhecimentos, capacidades e responsabilidade na gest��o da sua condi����o de sa��de. Deste modo delineou-se um estudo de tipo descritivo, transversal e explorat��rio com o objectivo de analisar e compreender o processo de prepara����o da alta hospitalar de enfermagem ao idoso internado por agudiza����o de doen��a, que se apresente aut��nomo no momento da alta, de modo a capacit��-lo para a gest��o da sua condi����o de sa��de. O estudo decorreu num Servi��o de Medicina Interna. Definiu-se como fontes de informa����o e m��todos de colheita de dados 25 entrevistas a idosos, 16 question��rios abertos a enfermeiros prestadores de cuidados e an��lise dos registos do processo de internamento dos idosos. Como principais resultados destacamos que os idosos quando internados apresentam preocupa����es relacionadas com a sua condi����o de sa��de e o motivo de internamento, os quais s��o pouco valorizadas na prepara����o da alta; os cuidados com a sa��de que os idosos t��m antes do internamento s��o valorizados nos registos de enfermagem; um ter��o dos idosos n��o teve conhecimento do seu diagn��stico m��dico; os diagn��sticos de enfermagem activos no momento da alta n��o s��o contemplados na prepara����o da alta; os idosos com a aproxima����o do regresso a casa manifestam preocupa����es sobre os cuidados a ter com a sua sa��de e manifestam interesse em ser informados sobre os mesmos; os idosos sentem pouca disponibilidade por parte dos enfermeiros para a prepara����o da alta; as interven����es de prepara����o da alta centram-se em interven����es do tipo ensinar, instruir e treinar, tendo-se verificado discrep��ncias sobre os cuidados prestados e o seu conte��do sob as v��rias fontes de informa����o; o di��logo �� a estrat��gia de prepara����o da alta que prevalece; mais informa����o e informa����o escrita s��o aspectos que podem melhorar a prepara����o da alta segundo os idosos. Podemos assim concluir que n��o existe uma estrutura de prepara����o da alta a idosos com capacidade para gerir a sua condi����o de sa��de e que muito pode ser melhorado em termos de prepara����o da alta a idosos no sentido de tomar o m��ximo partido deste elemento dos cuidados e assim obter ganhos em sa��de. ----------- ABSTRACT: The demographic aging is a reality nowadays. The nursing discharge planning is an element of care that should be studied on aging to provide older people with knowledge, abilities and responsibility in order to deal their health condition. Thus, it was outlined a descriptive study, transversal and exploratory in order to analyze and understand how the process nursing discharge occurs, by planning the elderly hospitalized with acute disease, in order to support patients for better management of health conditions. The study was carried in an Internal Medicine Service of a Central Hospital. As information sources and methods of data collection, we defined 25 interviews with elderly, 16 open-ended questionnaires to nurses and analysis of records from the process of the elderly hospitalized. In the main results we observe the elderly hospitalized have concerns about their health condition and the reason for their hospitalization, which are undervalued in the discharge planning process; the health care reported by elderly related to time before hospitalization were registered in nursing records; one-third of the elderly don���t know the medical diagnosis; the active nursing diagnosis at discharge assets are not included in the discharge planning process; in the discharge, the elderly had concerns over the care of their health and expressed interest in being informed of it; the elderly don���t feel availability from the nurses in the discharge planning; the discharge interventions focus on interventions like teaching, instructing and training, and there have been different views about the care provided and its contents under the various sources of information; the high prevailing strategy to discharge planning is the dialogue; more information and written information are aspects that can improve the discharge planning process. We conclude that there is no structure in discharge planning for the elderly with high ability to manage his health condition. There are several things that can be improved to the discharge planning for the elderly in order to take full advantage of this element of care.